1742 LF 'aA C- ` il�� r LOT NO.
STRPHT '
I OR BUILDING PERMIT
®
OMIT' d OF CUPERTINO (c
Date 1.19(u Permit No—
Application
Application is hereby made for a permit to
atory.� R 1 Building
at
to be occupied only as
in accordance withaPlans, Specifications and-Plot-Plan filegherewith. .
Estimated Value of Improvements,$ coo — Fee$ 1 � _.
v . .
It is hereby agreed'that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction; location, and use of buildings within the City of
Cupertino will 6ecomplied with.
h Owne< = U M f=S Addressg-t) . .a, h3 5-
/
*�B Address A
CONTRAO OR�-AO.NT
Approved
;h- l BUILDING INSPECTOR
RECORD OFI IN
S
PECTION APPROVALS
FOUNDATION
DATR INSPECTOR
/1
FRAME
DATE . INSPECTOR
LATH and PLASTER
ATB INSPECTOR
905!
FINAL BLDG. i
TE INSPECTOR
FINAL ELEC. TE
INSPECTOR
FINAL PLBG. Z
D TB SPECTOR
FINAL GAS A `� b
(I I/� DAT '1. INSPECTOR
pV� 1Cd12 f7� �{"(�7�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S-_OFFICE
f/�q CITY OF CUPERTINO'.
S
Date .........`.�/_!pb..._..........:......//19 ({// *�� — Building'Permit No
The Building Located t r..d ld� J `.."
Owned by .............[[ ..�.:.. FL �r..�.. ��. . ....r i ............
Has Been For Use As f
Itered) ty a a
..........
r er
'.,. ............... .... ---------
_..._............_.......................,.:.:..._".:;:.:s., ......._..........
i ............................................ ... .. "'
�! QQ•yPy'+ ' UIhDIINSPECTOli �l
W2 4/61-500